DISCIPLINE SUMMARIES
low the standard of practice of the profession and that
Dr. Shiozaki demonstrated a lack of knowledge on the
safe storage of opioids, specifically injectable Demerol.
INTERIM UNDERTAKING
On April 3, 2017, following the referral of the al-
legations in this matter to the Discipline Committee,
Dr. Shiozaki voluntarily entered into an undertaking,
agreeing that he would not prescribe narcotic drugs,
narcotic preparations, controlled drugs, benzodiaz-
epines and other targeted substances and monitored
drugs. In addition, Dr. Shiozaki undertook to cease to
provide injections except as expressly provided.
ORDER
The Committee ordered: a six-month suspension of
Dr. Shiozaki’s certificate of registration; a reprimand;
and a number of terms, conditions and limitations
on his certificate of registration.
The terms, conditions and limitations include: a
restriction from prescribing narcotics and controlled
drugs; performing only those injections expressly
provided in the Order; devoting a day to observ-
ing injections performed by an anesthesiologist in a
hospital-based pain clinic focusing on the types of
injections he is permitted to perform; six months
supervision; and a reassessment within six months of
the end of supervision. Dr. Shiozaki was also ordered
to pay costs of $5,500.
For complete details, please see the full decision at
www.cpso.on.ca. Select Find a Doctor and enter the
doctor’s name.
At the conclusion of the hearing, Dr. Shiozaki waived
his right to an appeal and the Committee administered
the public reprimand.
DR. PAUL KING SHUEN
PRACTICE LOCATION: Toronto
AREA OF PRACTICE: Obstetrics/Gynecology
HEARING INFORMATION: Admission; Agreed Statement of
Facts; Contested Penalty
On April 12, 2018, the Discipline Committee found
that Dr. Shuen committed an act of professional
misconduct in that he failed to maintain the standard
of practice of the profession and engaged in an act
or omission relevant to the practice of medicine that,
having regard to all the circumstances, would reason-
ably be regarded by members as disgraceful, dishon-
ourable or unprofessional. The Committee also found
that Dr. Shuen is incompetent.
Dr. Shuen is an obstetrician/gynecologist with a
subspecialty in gynecologic oncology. In September
2016, the College appointed investigators to review
Dr. Shuen's practice, following receipt of a letter
from the hospital dated August 2016, notifying that
Dr. Shuen had decided to retire from his hospital
practice after meeting with hospital staff to discuss
concerns relating to his practice.
BACKGROUND
In February 2013, the hospital was informed that a
nurse found "a powdery tablet" in a patient's vagina
that looked like prostin/misoprostol, a medication
used to induce uterine contractions and labour. There
were no orders for this medication in the chart. Dr.
Shuen denied any knowledge of it. The substance
found in Dr. Shuen's patient in February 2013 was
not retained for analysis.
In August 2015, the hospital was informed again
that a nurse found a white powdery-tablet in the
vagina of a patient. The substance was collected but
no analysis was done at that time. Dr. Shuen denied
any knowledge of the substance found in the pa-
tient's vagina. He denied ever placing any medication
in the patient's vagina and stated he had never done
this before. Dr. Shuen was advised by the hospital
that should the hospital find out that Dr. Shuen
had placed a medication used to induce labour in
a patient's vagina in his office, especially without
ISSUE 4, 2018 DIALOGUE
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